Nursing homes › Indiana › Pilgrim Manor
222 Parkview St, Plymouth, IN 46563 · 5749369943 · 78 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Government - County.
Total nurse staffing: 3.43 (Indiana median: 3.55). RN hours: 0.62. Weekend total: 3.08. Nursing staff turnover: 39%.
All-time on record: 31 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | Past Non-Compliance |
| 2026-02-13 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | G | Health | corrected 2026-03-19 |
| 2026-02-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-03-13 |
| 2026-02-13 | Provide and implement an infection prevention and control program. | F | Health | corrected 2026-03-19 |
| 2026-02-13 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Health | corrected 2026-03-19 |
| 2026-02-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-03-13 |
| 2026-02-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-03-13 |
| 2026-02-13 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-03-19 |
| 2026-02-13 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2026-03-13 |
| 2026-02-13 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2026-03-13 |
| 2026-02-13 | Implement a program that monitors antibiotic use. | D | Health | corrected 2026-03-13 |
| 2026-02-13 | Keep all essential equipment working safely. | D | Health | corrected 2026-03-13 |
| 2024-11-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2024-12-27 |
| 2024-11-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-12-27 |
| 2024-11-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-12-27 |
| 2024-11-27 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2024-12-27 |
| 2024-11-27 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-12-27 |
| 2024-11-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-12-27 |
| 2024-11-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-12-27 |
| 2024-11-27 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-12-27 |
| 2024-11-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-01-04 |
| 2024-11-27 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | complaint | corrected 2025-01-04 |
| 2024-11-27 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-12-27 |
| 2024-08-28 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2024-09-21 |
| 2024-08-28 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-09-21 |
| 2024-08-28 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-09-21 |
| 2024-08-28 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-09-21 |
| 2024-08-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-09-21 |
| 2023-12-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-01-15 |
| 2023-12-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-01-15 |
| 2023-12-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-01-15 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $45,580 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BORNE-BAUMAN, CANDICE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2024 |
| FLUECKIGER, RUSSELL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2024 |
| LEHMAN, SCOTT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2024 |
| MACKLIN, LARRY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2024 |
| MCINTIRE, DAVID | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2024 |
| ADAMS COUNTY MEMORIAL HOSPITAL | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2025 |
| PILGRIM MANOR OPERATIONS | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/01/2025 |
| BORNE-BAUMAN, CANDICE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| COMBS, JAMES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/10/2024 |
| FLUECKIGER, RUSSELL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| HOLM, BYRON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| LEHMAN, SCOTT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| MACKLIN, LARRY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| MCINTIRE, DAVID | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| SMITH, SCOTT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| SPRUNGER, KYLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| WHEELER, DANE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 155073. Corrections: data@carerecords.org.